| NPI | 1033252325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 3675) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AZ 3675) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-03-14 |